Early surgical intervention for orbital complications of pediatric acute rhinosinusitis: outcomes and algorithmic approach.

Surgery for pediatric acute rhinosinusitis-related orbital complications achieves excellent outcomes when guided by radiographic and clinical criteria.

Combined drainage is reserved for extensive abscesses, while endonasal alone suffices for localized cases.

These findings support a standardized algorithm (Figure 3) integrating abscess location, volume, and clinical progression to optimize care. Future prospective studies should address antibiotic protocol standardization.